Coder
Bergen Regional Medical Center

Introduction

At BRMC, teamwork is what makes our employees want to give their best. We are looking for a F/T Coder to code our Inpatient and Ambulatory Surgery medical records.

Job Description

The coder is in charge of reviewing hospital records to assign the correct diagnoses and procedures to arrive at the correct reimbursement. The coder follows established coding guidelines and utilizes Coding Clinic and other available resources to meet national coding guidelines.

Required Qualifications

At least 2 years coding in an acute care setting. Knowledge of medical terminology, anatomy & physiology, disease processes, ICD-9-CM and POA guidelines. Must be detail oriented and organized. Must be able to read and speak English

Preferred Qualifications

RHIA, RHIT or CCS Certification preferred, but not required

EducationQualifications

Compensation/Benefits

BRMC offers a competitive salary and a comprehensive benefit package, including 401(K).

Contact

Mario Gallego, MS, RHIA
Bergen Regional Medical Center
Mgallego@bergenregional.com
Phone 201-967-4063

Lead Medical Records Specialist
Morristown Memorial Hospital

Introduction

Careers at Atlantic Health: Our exceptional people make our extraordinary reputation possible. And because of our ongoing commitment to our staff, we have been named by Fortune® Magazine as one of the “Fortune 100 Best Companies to Work For®,” the only hospital system in New Jersey to earn this prestigious designation. In addition, AARP named Atlantic Health the top company on its 2009 Hospitals/Health Care list of “Best Employers for Workers Over 50.”

Job Description

Responsibilities include:

• Responsible for maintaining the coding quality of the inpatient team at 95% or higher. Includes education and training of coders.

• Responsible for all DRG validation requests from commercial payers.

• Utilizes Quadramed's Quantim product to validate accuracy of inpatient coding and ensure all abstract elements have been met.

• Reviews key quality indicators for SOI, ROM and overall thoroughness in all coding.

• Works with the clinical documentation improvement nurses to ensure appropriate queries are left concurrently and that they are aware of coding guidelines, MS DRG changes, and documentation issues faced by the coders.

Required Qualifications

CCS Required. Inpatient coding experience. Must have 3-5 years of DRG validation experience.

Education Qualifications

High school diploma.

Compensation/Benefits

We offer a competitive compensation/benefits package.

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Inpatient Coder
Morristown Memorial Hospital

Introduction

Careers at Atlantic Health: Our exceptional people make our extraordinary reputation possible. And because of our ongoing commitment to our staff, we have been named by Fortune® Magazine as one of the “Fortune 100 Best Companies to Work For®,” the only hospital system in New Jersey to earn this prestigious designation. In addition, AARP named Atlantic Health the top company on its 2009 Hospitals/Health Care list of “Best Employers for Workers Over 50.”

Job Description

Responsibilities include:

• Assigns ICD-9-CM codes accurately in accordance with coding guidelines, CMS regulations and AHS policies.

• Ensures the appropriate DRG for each patient using applicable coding and sequencing guidelines via the 3M encoder.

• Assigns the appropriate POA indicator to all inpatient diagnosis.

• Adds physician query forms appropriately to ensure the final diagnosis and procedures are accurate and reflect the chart documentation.

Required Qualifications

Candidates must have the ability to work independently and consistently with a high degree of accuracy and quality. CCS is required along with 5+ years of intensive inpatient coding experience.

Education Qualifications

High school diploma.

Compensation/Benefits

We offer a competitive compensation/benefits package. We offer telecommuting opportunities, as well.

Contact

Eileen Hickey
Morristown Memorial Hospital
eileen.hickey@atlantichealth.org
Phone 973-971-5188

Coding Specialist
Riverview Medical Center/Meridian Health

Introduction

At Meridian Health, you're never far from what matters most in your life. The balance our team members keep between their very full personal and professional lives is a priority. That's why we strive to provide programs and services that help our team members find that balance. Our goal is to take the very best care of our team members, so they can take the very best care of our patients.

Job Description

The Coding Specialist I is responsible for assigning diagnostic and procedure codes to records of inpatients and outpatients. S/he codes data from patient records utilizing computerized coding system to ensure accurate and timely data entry for hospital reimbursement, research, education, quality assurance and strategic planning purposes.

Required Qualifications

Qualifications of the successful candidate include:

• High School diploma or GED Required..

• Strong knowledge of DRG's, ICD-9 and CPT Coding.

• 3 or more years coding inpatient charts in an acute care setting.

Preferred Qualifications

Knowledge of 3M Coder preferred.

Education Qualifications

High school diploma or GED required.  CCS certification.

Compensation/Benefits

Compensation is commensurate with experience.  Comprehensive benefits package is included.

Contact

Hank Hamill
hhamill@meridianhealth.com
Phone:  732-751-7566
Fax: 732-751-7540

Coder (onsite and/or remote)
Overlook Hospital

Introduction

Careers at Atlantic Health: Our exceptional people make our extraordinary reputation possible. And because of our ongoing commitment to our staff, we have been named by Fortune® Magazine as one of the “Fortune 100 Best Companies to Work For®,” the only hospital system in New Jersey to earn this prestigious designation. In addition, AARP named Atlantic Health the top company on its 2009 Hospitals/Health Care list of “Best Employers for Workers Over 50.”

Job Description

Responsibilities include:

• Assigns ICD-9-CM codes accurately in accordance with coding guidelines, CMS regulations and AHS policies.

• Assigns CPT-4 codes accurately in accordance with coding guidelines, CMS regulations, and AHS policies.

• Assigns the appropriate DRG or APC classification for each patient using applicable coding and sequencing guidelines.

• Assigns the appropriate POA indicator to all inpatient diagnosis.

• Adds physician query forms appropriately to ensure the final diagnosis and procedures are accurate and reflect the chart documentation.

Required Qualifications

Candidates must have the ability to work independently and consistently with a high degree of accuracy and quality. CCS is required along with 5+ years of intensive inpatient coding experience.

Education Qualifications

HS Diploma

Compensation/Benefits

We offer a competitive compensation/benefits package. This position has the ability to work onsite and/or remotely from home.

Contact

Christine Karaman-Meacham
Overlook Hospital
Christine.Karaman-Meacham@atlantichealth.org
Phone 908-522-2900

Senior Audit Coordinator
Horizon Blue Cross Blue Shield of NJ

Introduction

This position is responsible for conducting on site audits of hospital billing and coding practices and desk audits; forms development, profiling and tracking institutional audit trends. Performs and finalizes multiple per diem, bill verification, DRG Validation (utilization review audits) and credit balance. Additionally provides guidance/instruction to various stakeholders on ICD9- CM, DRG assignment payment and auditing.

Job Description

• Identifies and presents billing discrepancies found during audit and coordinates referral of improper claim payments through the appropriate channels.

• Identifies error trends as they relate to medical record and or billing documentation or misinterpretation of provider contract stipulations.

• Compiles statistics and other audit information to present to accounts, regulatory agencies, internal requesters.

• Reviews and updates audit processes with manager for purposes of keeping up with new innovations in clinical data review and company cost containment initiatives.

• Required to train new staff on department/audit procedures.

• Performs other special assignments as requested by manager.

• Demonstrates knowledge, understanding and conforms to laws, regulations and policies that pertain to the organizational units business. Core Individual Contributor Competencies: Personal and professional attributes that are critical to successful performance for Individual Contributors: Customer Focus Accountable Learn Communicate

Required Qualifications

Requirements for the successful candidate include:

• Requires a Bachelor’s degree in Health Information Management or related field, or RN with CCS certification.

• Requires a minimum of 3 years experience in a medical records department of an acute care hospital or other health care facility.

• Experience with DRG validation, ICD-9-CM training and education.

• Additional licensing, certifications, registrations:

• Valid Drivers license and access to a car.

• RN license and CCS Certification

Preferred Qualifications

Knowledge:

• Requires knowledge of medical terminology, detailed knowledge of anatomy & physiology, disease pathogenesis and treatment including procedural drug therapies, ancillary and diagnostic services

• Requires knowledge of principles of utilization management

• Requires knowledge of hospital structures and payment systems

• Requires knowledge of centers of Medicare and Medicaid prospective payment system regulations

• Prefer knowledge of ACCESS Software Skills and Abilities

• Must have effective verbal and written communication skills and demonstrate the ability to work well within a team

• Demonstrated ability to deliver highly technical information to less technical individuals

• Must have strong PC skills experience with MICROSOFT office programs: excel, word and power point

• Must demonstrate professional and ethical business practices, adherence to company standards, and a commitment to personal and professional development

• Proven time management skills are necessary

• Must demonstrate the ability to manage multiple priorities [or tasks], deliver timely and accurate work products with a customer service focus, and respond with a sense of urgency as required

• Demonstrated ability to work in a production focused environment

• Proven ability to ask probing questions and obtain thorough and relevant information

• Needs to demonstrate willingness to cross-train, and be cross-trained, in other roles/duties

• Must be detail oriented with strong organizational and data processing skills

• Proven ability to follow detailed instructions is essential, along with proven problem solving skills

• Proven analytical, research and problem solving skills a must

• Travel (If Applicable): Field position 85 to 90% of time spent in the field at various facilities in NJ, PA & NY

Education Qualifications

Bachelors Degree or Associate degree in Health Information Management or RN with CCS.

Compensation/Benefits

To be discussed with Recruiter

Contact

Phyllis Walker
Horizon Blue Cross Blue Shield of NJ, Inc
Phyllis_R_Walker@horizonblue.com
Phone 973-466-8874
Fax 973-274-2336

Certified Inpatient Coders
St. Joseph's Healthcare System

Introduction: 

At St. Joseph's Healthcare System, our inspiration comes from a tightly knit team of accomplished professionals that help give people in our care every opportunity to live life to the fullest. Through our commitment to support, technology and training, we think you will find one of the most rewarding and satisfying experiences of your career.

Job Description: 

F/T Certified Inpatient Coders needed at the Paterson, NJ Campus.  The successful candidate will:

• Help code hospital discharge records for the purpose of reimbursement,

• research and compliance with Federal and State regulations according to diagnoses,

• operations and procedures using ICD-9 and CPT classification Systems.

• Review records to ascertain all diagnosis/procedures

• Utilize ICD-9 CM coding principles and CPT coding guidelines

• DRG assignments

• Retrieves missing clinical testing data

• Reviews coding materials

• Ensures integrity of data

• Completes abstracts in Quantim System to ensure billing

• Handles other functions as necessary

Required Qualifications: 

To qualify, you must have your Certified Coding Specialist Certification, be PC proficient, and possess 3+ years experience. Ability to thrive in a fast-paced environment, superior analytical and problem-solving skills, and strong attention to detail will be expected.

Compensation/Benefits: 

We offer a competitive compensation.

Coder - F/T
South Jersey Healthcare - Regional Medical Center - Vineland, NJ
 

Introduction

At South Jersey Healthcare, we are driven by the idea that people should have direct access to the highest quality healthcare available, right in their own community. We also strive to make top professionals feel at home on our team with an outstanding professional environment that appeals to physicians, nurses, allied health professionals, support staff and new graduates alike. South Jersey Healthcare is…

• The area’s only non-profit health system

• The largest employer in Cumberland County

• Nationally recognized as a patient satisfaction leader

• Among the less than 5% of hospitals nationwide that have achieved the prestigious Magnet™ recognition status—and NJ’s first health system to be awarded this distinction for 3 facilities in one site visit!

• Among the most active area hospitals with 20,000 admissions annually

• A major provider of charity care for families without health insurance Proud to be an equal opportunity employer.

Job Description

Coders will be responsible for the accurate diagnostic and procedural coding of medical records - which include, inpatient, outpatient and emergency room records. Also the coder is responsible for the accurate abstracting of medical, financial and demographic information, in addition to performing other events.

Required Qualifications

The successful candidate will have:

• Knowledge of ICD-9-CM & CPT coding schemes Knowledge of medical terminology, anatomy, physiology and the pathology of disease

• Minimum of 2-3 years experience in acute care inpatient coding with ICD-9-CM and CPT-4 Knowledge of health information management functions and computer operations

• Able to communicate effectively

• Basic Desktop computer skills and applications

• Knowledge of automated Encoder and Clinical Abstracting Systems

Preferred Qualifications

Certified Coder Specialist (CCS), and/or Registered Health Information Technician (RHIT) and/or Associates Degree

Education Qualifications

High School Degree/GED/Equivalent Vocational/Technical School/Diploma Program preferred

Compensation/Benefits

SJH offers its employees an excellent benefits package including medical, prescription, dental, vision, and life insurance coverage.

Contact

Learn more about us and apply online: www.sjhealthcare.net

Clinical Data Quality Specialist
CentraState Healthcare System

Introduction

Creates consistency and efficiency in inpatient claims processing and data collection to optimize DRG reimbursement and facilitate data quality for inpatient services. Coordinates data focus with the Physician Advisor and the Manager, Financial & Clinical Data.

Job Description

• Performs data quality reviews on inpatient records to validate the ICD-9-CM, Principal Diagnosis, Co-morbid/complications conditions, Major co-morbid conditions/ complications, Principal operations and or procedures, DRG group appropriateness, missed secondary diagnoses and procedures, and ensures compliance with all DRG mandates and reporting requirements.

• Monitors Medicare and other DRG paid bulletins and manuals and review the current OIG Work plans for DRG risk areas.

• Monitors physician query process and works with Physician Advisor to educate Providers.

• Creates and monitors inpatient case mix reports and the top 25 assigned DRG’s in the facility to identify patterns, trends, and variations in the facility’s frequently assigned DRG groups.

• Once identified, the DRG Specialist evaluates the causes of the change or problems, and takes appropriate steps in collaboration with the right department to effect resolution or explanation of any variances.

• Continuously evaluates the quality of clinical documentation to spot incomplete or inconsistent documentation for inpatient encounters that impact the code selection and resulting DRG groups and payment.

• Brings identified concerns to medical staff committee or department managers for resolution. Serves as the facility representative for DRG’s by attending coding and reimbursement workshops and brings back information to the appropriate departments.

• Performs quarterly claim form reviews to check code transfer accuracy from the abstracting system and the Chargemaster.

• Evaluates, records, and responds to the Peer Review Organization (PRO), Recovery Audit Contractors (RAC), HSQI, Blue Cross and commercial payers DRG change and denial notices.

• Provides appropriate documentation from required source to the PRO, RAC HSQI, Blue Cross and commercial payer’s when appealing a PRO decision.

Required Qualifications

• Minimum of associate’s degree in a health services discipline.

• RHIT/CCS required.

• Minimum five years of progressive medical record coding experience including claims processing and data management responsibilities.

Preferred Qualifications

• Minimum of associate’s degree in a health services discipline.

• RHIT/CCS required.

• Minimum five years of progressive medical record coding experience including claims processing and data management responsibilities.

Education Qualifications

Minimum of associate’s degree in a health services discipline. RHIT/CCS required.

Contact

Visit our website to learn more at www.centrastate.com

Judy Wisniewski
CentraState Healthcare System
Jwisniew@centrastate.com
Phone: 732-431-2000 x5038

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Inpatient Coder
University Hospital - UMDNJ

Introduction

Inpatient Coder Job Number: 09NS975758

Location: Newark (Northern New Jersey) Facility:

University Hospital Department: Medical Records Status: Regular Full-time Salary Range: TC2700: $27.55, $28.05, $28.89 THIS IS AN OPPORTUNITY FOR AN ENTRY LEVEL INPATIENT CODER.

Job Description

The primary purpose of the Inpatient Coder position is to review hospital inpatient medical records and assign ICD-9-CM diagnosis and procedure codes that reflect the reason for admission and patient severity. Follows established hospital inpatient coding guidelines and utilizes Coding Clinic and other resources to ensure compliance with national coding guidelines. Assists the Assistant Director with identifying opportunities for physician documentation improvement.

Required Qualifications

• Minimum of five (5) years of hospital coding experience in ICD-9-CM coding, preferably with experience coding operative procedures utilizing ICD-9-CM procedure codes.

• Knowledge of medical terminology, anatomy and physiology, disease processes. Knowledge of ICD-9-CM Coding guidelines and POA guidelines for hospital coding. Knowledge of CMS, Medicaid and third party payer coding.

• Must be an RHIA, RHIT and/or Certified Coding Specialist (CCS).

• Encoder (Quantim) experience a plus.

• Must be able to read and speak English and possess excellent written communication skills.

• Must be able to read clinical staff handwriting within medical record.

• Must be detail-oriented, accurate and organized.

Compensation/Benefits

UMDNJ offers a competitive salary & comprehensive benefits package including on-site fitness center & child care. Affirmative Action/Equal Opportunity Employer, M/F/D/V.

Contact

All applicants must apply online at www.udnj.edu/hrweb

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Director of Coding
Saint Barnabas Health Care System

Introduction: 

Home to doing what’s best for patients and each other. The absolute best in patient care. At Saint Barnabas Health Care System, it’s absolutely why we’re all here, every day. We are all completely focused on one thing – our patients. But, at the same time, we’re also committed and connected to one another. We feel that caring can extend beyond responsibilities and beyond what’s expected to include everyone.

Job Description: 

The Director of Coding will supervise a staff consisting of a Quality Officer, Coding Manager and sixteen coders. Responsibilities will include:

• Overseeing the query and selection, implementation and maintenance of coding system.

• This individual will report directly to the Physician Contracting Officer.

• The Director will also provide coder and departmental education and mentoring (such as 3M application for Coding and Reimbursement), conduct ongoing quality control reviews of medical records, provide back up coding as necessary, ensure overall DRG accuracy for the facility and perform work flow analysis of existing departmental systems to improve efficiency.

Required Qualifications: 

• CCS, RHIA or RHIT as well as extensive knowledge of DRG systems, ICD-9-CM and CPT coding are required.

• Must have a proven track record with Coding and Reimbursement (coding all specialties, denials and audits as well as coding audits).

• The ideal candidate will have the ability to interact well with Medical Staff, Clinical Staff and Administration to promote cooperation between the areas of Medical Records and other ancillary departments (i.e. Tumor Registry, Case Management, Patient Accounting and Quality Resource Management, etc.).

• An understanding of CMS and Fiscal Intermediary Local Medical Review policies is required.

• An Associate or Bachelor's degree in Health Information Management as well as five years’ inpatient coding experience in an acute care setting and two years’ supervisory experience preferred. 

Compensation/Benefits: 

We offer a competitive salary and exceptional benefits package.

Contact:

Please apply online at www.sbhcscareers.com with appropriate job number #10346.

EOE

Documentation Improvement Specialist
Mountainside Hospital
 

Introduction:

Flexibility and an employee-friendly environment are hallmarks of the Mountainside experience. Mountainside Hospital, founded in 1891, is your local community neighborhood hospital. We offer an array of patient-focused health care services delivered by caring and skilled medical professionals. The physicians, nurses and volunteers who are a part of the Mountainside family are also your friends and neighbors.

Job Description:

The Clinical Documentation Specialist (CDS) facilitates the communication between physicians and other inhouse users of clinical documentation through a process of documentation improvement that involves review, education, and collaboration with physicians, other clinicians, and co-workers. These activities are an integral part of the Mountainside Hospital Clinical Documentation Improvement Program. The goal of the program is to ensure compliance with regulatory, accreditation, and facility guidelines that results in appropriate documentation of care rendered, appropriate documentation of medical necessity, and accurate post-discharge assignment of DRG. Mountainside Hospital is a service-oriented organization that operates seven days per week, 24 hours per day. Work schedule will be flexible to accommodate weekends, holidays, overtime, and low census periods. Under the direction of the Health Records Services Director, the CDIS:

• Is responsible for the day-to-day activities of the Clinical Documentation Improvement Program to include all modalities, liaisons with other departments and physicians, and the development and implementation of clinical documentation improvement processes.

• Works in conjunction with physicians, case management, nursing, HRS co-workers, and other health team members to provide for comprehensive medical record documentation to reflect clinical treatment, decisions, and diagnoses for inpatient, same day procedure, and emergency department cases.

• Utilizes coding and clinical expertise to identify opportunities and ensure the accuracy and completeness of clinical documentation used for measuring and reporting physician and hospital outcomes.

Required Qualifications:

• Excellent observation skills, analytical-critical thinking, problem solving, plus effective oral and written communication skills

• Ability to solve problems effectively and manage multiple priorities efficiently

• Ability to assess, evaluate, and teach physicians and other healthcare professionals

• Minimum of five years of experience in acute-care setting

• Inpatient hospital coding or clinical experience Ø Evidence of career progression and leadership potential

• Bachelor’s degree required; advanced degree a plus

• RN, LPN, RHIA or RHIT required; CCS a plus

Education Qualifications:

Baccalaureate degree. Preference given to applicants with college-level coding and/or HIM training.

Compensation/Benefits:

Mountainside offers competitive salaries (commensurate with experience), health benefits, life insurance, tuition reimbursement, on-site health/exercise facilities, and 401K matching.

Contact:

Debra Savage
Mountainside Hospital
Debra.Savage@mountainsidehosp.com
Phone 973-429-6153